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Form W-4V |
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Voluntary Withholding Request |
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(Rev. February 2018) |
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(For unemployment compensation and certain Federal Government and other payments.) |
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Department of the Treasury |
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▶ Go to WWW.IRS.GOV/FORMW4V for the latest information. |
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Internal Revenue Service |
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Instructions |
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Note. For withholding on social security benefits, give or send the |
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completed Form W-4V to your local Social Security Administration |
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Purpose of Form |
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office. |
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If you receive any government payment shown below, you may use |
Line 3. If your address is outside the United States or the U.S. |
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Form W-4V to ask the payer to withhold federal income tax. |
possessions, enter on line 3 the city, province or state, and name of the |
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• Unemployment compensation (including Railroad Unemployment |
country. Follow the country’s practice for entering the postal code. |
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Don’t abbreviate the country name. |
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Insurance Act (RUIA) payments). |
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• Social security benefits. |
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Line 4. Enter the claim or identification number you use with your payer. |
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For withholding from social security benefits, the claim number is the |
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• Social security equivalent Tier 1 railroad retirement benefits. |
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social security number under which a claim is filed or benefits are paid |
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• Commodity Credit Corporation loans. |
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(for example, 123-45-6789A or 123-45-6789B6). The letter or |
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• Certain crop disaster payments under the Agricultural Act of 1949 or |
letter/number combination suffix that follows the claim number identifies |
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the type of benefit (for example, a wage earner, a spouse, or a |
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under Title II of the Disaster Assistance Act of 1988. |
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widow(er)). The claim number may or may not be your own social |
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• Dividends and other distributions from Alaska Native Corporations |
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security number. If you are unsure about what number to use, contact |
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to its shareholders. |
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the Social Security Administration at 1-800-772-1213 (toll-free). For |
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Consult your payer if you’re uncertain whether your payment is |
other government payments, consult your payer for the correct claim or |
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eligible for voluntary withholding. |
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identification number format. |
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You aren’t required to have federal income tax withheld from these |
Line 5. If you want federal income tax withheld from your |
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payments. Your request is voluntary. |
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unemployment compensation, check the box on line 5. The payer will |
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Note. Payers may develop their own form for you to request federal |
withhold 10% from each payment. |
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income tax withholding. If a payer gives you its own form instead of |
Line 6. If you receive any of the payments listed on line 6, check the box |
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Form W-4V, use that form. |
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to indicate the percentage (7%, 10%, 12%, or 22%) you want withheld |
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Why Should I Request Withholding? |
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from each payment. |
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Line 7. See How Do I Stop Withholding? below. |
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You may find that having federal income tax withheld from the listed |
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Sign this form. Form W-4V is not considered valid unless you sign it. |
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payments is more convenient than making quarterly estimated tax |
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payments. However, if you have other income that isn’t subject to |
When Will My Withholding Start? |
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withholding, consider making estimated tax payments. For more details, |
Ask your payer exactly when income tax withholding will begin. The |
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see Form 1040-ES, Estimated Tax for Individuals. |
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federal income tax withholding you choose on this form will remain in |
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How Much Can I Have Withheld? |
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effect until you change or stop it or the payments stop. |
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For unemployment compensation, the payer is permitted to withhold |
How Do I Change Withholding? |
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10% from each payment. No other percentage or amount is allowed. |
If you are getting a payment other than unemployment compensation |
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For any other government payment listed above, you may choose to |
and want to change your withholding rate, complete a new Form W-4V. |
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have the payer withhold federal income tax of 7%, 10%, 12%, or 22% |
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Give the new form to the payer. |
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from each payment, but no other percentage or amount. |
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How Do I Stop Withholding? |
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What Do I Need To Do? |
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If you want to stop withholding, complete a new Form W-4V. After |
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Complete lines 1 through 4; check one box on line 5, 6, or 7; sign Form |
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completing lines 1 through 4, check the box on line 7, and sign and date |
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W-4V; and give it to the payer, not to the IRS. |
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the form; then give the new form to the payer. |
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